Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tatum Vanderpool

Individual provider Physical Therapist · NPI 1891408001

Tatum Vanderpool is a Physical Therapist in Private Practice in Mesa, Arizona. Qualified in 2022, 4 years ago. Practices with 360 Physical Therapy LLC, a 85-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2023
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Practice location Address checks out

10165 E Hampton Ave Ste 111
Mesa, AZ 85209-3327
Phone: (480) 354-5424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4210 E Baseline Rd Ste 106, Mesa, AZ 85206-4418 — (480) 692-7624

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence LPT-32765 (AZ)

Record details

NPI number1891408001
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 3, 2023
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025
Mailing address10512 E Nichols Ave, Mesa, AZ 85209-7894

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice 360 Physical Therapy Llc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mesa